Prepare for the Business of Healthcare and Health Policy Test. Study with multiple choice questions and explanations to ace your exam!

Multiple Choice

Which of the following is NOT a model of care within HMOs?

In HMOs, models of care describe the way physician delivery is organized and contracted: a single group under contract, multiple independent groups, or independent private practice physicians who contract with the HMO. A group model uses a single multi-specialty group; an Independent Practice Association model contracts with independent physicians who practice outside the HMO; a network model involves contracting with several physician groups to provide care. Open panel, on the other hand, is about who can treat HMO members—whether non-panel physicians can see them—it's a policy about panel composition, not a structural care-delivery model. So open panel is not a model of care within HMOs.

In HMOs, models of care describe the way physician delivery is organized and contracted: a single group under contract, multiple independent groups, or independent private practice physicians who contract with the HMO. A group model uses a single multi-specialty group; an Independent Practice Association model contracts with independent physicians who practice outside the HMO; a network model involves contracting with several physician groups to provide care. Open panel, on the other hand, is about who can treat HMO members—whether non-panel physicians can see them—it's a policy about panel composition, not a structural care-delivery model. So open panel is not a model of care within HMOs.